NPIMap

Individual provider Active NPI

Yolanda Marion Michetti, MD

  • Emergency Medicine Physician
  • Mechanicsburg, PA
National Provider Identifier
1447578430
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD446567 Issued in PA
Practice address
2025 Technology Pkwy Ste G07
Mechanicsburg, PA 17050-9400
Phone
(717) 791-2440
Fax
(717) 791-2441
NPI assigned
May 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD446567 PA Primary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X MD446567 PA

Addresses

Primary practice location

2025 Technology Pkwy Ste G07
Mechanicsburg, PA 17050-9400

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Phone (717) 791-2440

Other practice location 1

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 988-0000

Other practice location 2

366 Alexander Spring Rd Ste 2
Carlisle, PA 17015-9214
Phone (717) 243-1900

Other practice location 3

4310 Londonderry Rd
Harrisburg, PA 17109-5300
Phone (717) 671-2050

Other identifiers 1

IdentifierTypeStateIssuer
102919999MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ymichetti5945@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140617001530 PA Practitioner - Emergency Medicine 9638393481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

4310 Londonderry Rd
Harrisburg, PA 17109-5300
Phone (717) 671-2050

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Harrisburg, PA, CCN 397770
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue433
Removal of skin lesions31
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD446567PAMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 16, 2019 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2014 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 16, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2015 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2015 Accepting new patients
Pinnacle Health Emergency Department Services LLC Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Geisinger Clinic Current Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Ste 2
Carlisle, PA 17015
Phone (717) 782-4785

100 N Academy Ave
Danville, PA 17822

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

4310 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 657-7520

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

1995 Technology Pkwy
Mechanicsburg, PA 17050
Phone (717) 791-2600

2025 Technology Pkwy
Ste G07
Mechanicsburg, PA 17050
Phone (717) 791-2440

Interoperability endpoints

  • Direct secure messaging: ymichetti296606@upmc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1447578430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-791-2440",
            "fax_number": "717-791-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY STE G07",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509400",
            "telephone_number": "717-791-2440",
            "fax_number": "717-791-2441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Technology Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170508522",
            "country_code": "US",
            "telephone_number": "717-988-0000",
            "fax_number": "717-782-5716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "366 Alexander Spring Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159214",
            "country_code": "US",
            "telephone_number": "717-243-1900",
            "fax_number": "717-243-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4310 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095300",
            "country_code": "US",
            "telephone_number": "717-671-2050",
            "fax_number": "717-671-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHETTI",
        "first_name": "YOLANDA",
        "middle_name": "MARION",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD446567",
            "primary": true
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "PA",
            "license": "MD446567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102919999",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ymichetti5945@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2025 Technology Pkwy Ste G07",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170509400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.